• Health Care Exchanges

    On Oct. 1, 2013, health insurance options were made available to the American public as part of the Affordable Care Act (ACA).  These insurance plans provide another option for obtaining health insurance coverage.  Currently, most individuals obtain insurance coverage by purchasing it themselves, via their employer, or are eligible for coverage provided by the government (e.g., Medicare, Medicaid).  The information provided here addresses only those health insurance options being made available via ACA (aka "marketplace," "exchanges" or "exchange plans").  Additional information regarding the exchange plans is available through www.healthcare.gov.

    This online marketplace allows individuals to:

    • Shop for health insurance options in their state
    • Compare health plans
    • Purchase and enroll in a health plan  

    The plans on the Health Insurance Marketplace are separated into four health plan categories - Bronze, Silver, Gold, or Platinum. Each metallic level varies by the percentage of costs you have to pay on average toward the healthcare you receive in the form of deductible, coinsurance, and/or co-payments.  Review plan details of coverage carefully before choosing.  

    Health Insurance Marketplace / Exchange Open Enrollment Year 2   

    Starting Nov. 15, 2014, consumers have the ability to sign up for 2015 health insurance plans through HealthCare.gov, the call center (800-318-2596), or via local in-person assistance. Open enrollment will last thru Feb. 15, 2015, with coverage beginning as early as Jan. 1, 2015, for those that enroll by Dec. 15, 2014. 

    State-by-State Health Plans

    Each state approved specific companies to sell plans on the exchanges. Many hospitals, including Cincinnati Children's, do not contract with all of the plans in their state's exchange. It is important that individuals confirm that their child's preferred providers are in-network prior to selecting a new plan on the exchange. A good number of the insurance plans have limited or no out-of-network benefits, and individuals will be financially responsible for all unpaid charges. To ensure you and your family do not incur any unexpected out-of-pocket expenses for your child's care at Cincinnati Children's if you choose insurance through the exchanges, Cincinnati Children's recommends that you enroll in one of the plans listed in bold below with which Cincinnati Children's is contracted as an in-network provider. 

    *Note that this information is subject to change. Please re-check periodically for updates if your plan is listed as non-contracted.

    Ohio Exchange Plans

    Twelve companies will operate plans in Southwest Ohio. See a list of these plans below. Note the plans at the top of the list, in bold, are the plans that are considered in-network for Cincinnati Children's and its employed physicians.  

    • HUMANA Health Plan of Ohio  
    • HealthSpan  
    • MedMutual  
    • CareSource Just4Me
    • Anthem Blue Cross Blue Shield
    • Aetna
    • InHealth Mutual via HealthSpan
    • Assurant Health via Aetna
    • United HealthCare -Cincinnati Children's is NOT a contracted provider
    • Premier Health Network -Cincinnati Children's is NOT a contracted provider
    • Ambetter from Buckeye Community Health Plan -Cincinnati Children's  is NOT a contracted provider
    • Molina Marketplace -Cincinnati Children's is NOT a contracted provider

    Kentucky Exchange Plans

    Seven companies are approved to sell plans on the exchange. See a list of these plans below. Note the plans at the top of the list, in bold, are the plans that are considered in-network for Cincinnati Children's and its employed physicians. 

    • HUMANA Health Plan of Ohio  
    • Kentucky Health Cooperative via the FIRST HEALTH NETWORK
    • Anthem Blue Cross Blue Shield - For Blue Access Travel Network Only
    • Anthem Blue Cross Blue Shield -Cincinnati Children's is NOT a contracted provider for the Pathway and Pathway X Networks
    • CareSource Just4Me -Cincinnati Children's  is NOT a contracted provider
    • WellCare -Cincinnati Children's is NOT a contracted provider
    • BlueGrass Family Health -Cincinnati Children's  is NOT a contracted provider

    Indiana Exchange Plans

    Six companies are approved to sell plans on the exchange, however, Anthem is the only carrier offering an exchange plan in Southeast Indiana.  Cincinnati Children's and its employed physicians are not currently contracted with these companies. 

    • Anthem Blue Cross Blue Shield
    • CareSource Just4Me-Cincinnati Children's  is NOT a contracted provider
    • SIHO Insurance Services-Cincinnati Children's is NOT a contracted provider
    • Managed Health Services- Cincinnati Children's  is NOT a contracted provider
    • MDWise-Cincinnati Children's  is NOT a contracted provider
    • PHP of Northern Indiana -Cincinnati Children's  is NOT a contracted provider

    All Other States

    Please contact your local state exchanges for more information.  

  • Cincinnati Children's Contracts with Subset of Plans

    Note that Cincinnati Children’s does not contract with all of the plans in the exchange. It is important that you confirm that your preferred providers are in network prior to selecting a new plan on the exchange. Please note our contracted state-by-state plans on this page.

  • Health Insurance Online Marketplace

    Shop, compare and choose a plan at the website below.

    www.healthcare.gov